| NPI | 1023589777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVION NELSON HUNTER Executive Director 919-833-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |